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File #: 25-287    Version: 1 Name:
Type: Resolution Status: Passed
File created: 3/10/2025 Departments: HEALTH
On agenda: 4/8/2025 Final action: 4/8/2025
Title: Adopt a resolution authorizing an amendment to the agreement with Royal Ambulance, Inc. to provide non-emergent patient transport services and increase the maximum amount payable by $199,000, to an amount not to exceed $914,000, with no change to the agreement term.
Attachments: 1. 20250408_r_Royal Ambulance Inc.pdf, 2. 20250408_a_Royal Ambulance Inc.pdf, 3. 0027_1_20250408_r081070_Royal Ambulance Inc.pdf, 4. 0027_2_20250408_a_Royal Ambulance Inc.pdf
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment to the Agreement with Royal Ambulance, Inc. to Provide Non-Emergent Patient Transport Services

RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Royal Ambulance, Inc. to provide non-emergent patient transport services and increase the maximum amount payable by $199,000, to an amount not to exceed $914,000, with no change to the agreement term.

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BACKGROUND:
San Mateo Medical Center (SMMC) often needs non-emergent patient transport service to transfer patients to other facilities for continuity of care, typically for testing and other services that may not be available at SMMC, such as cardiac catheterizations, nuclear med scans, CT scans, dialysis services, and other hospitalization for admissions. Generally, the transport vendor bills the patient's insurance company for the transportation service and SMMC is the payor of last resort, except in the case of the uninsured and lateral transfers (transfers between hospitals for continuity of care and/or testing).

In August 2021, SMMC completed a Request for Proposals for non-emergent patient transport services. Royal Ambulance, Inc. (Royal) was identified as the superior proposal due to their cost and broad variety of special services offered.

Due to timing, in September 2021, SMMC and Royal entered into a departmental level agreement for the term of November 1, 2021, through October 31, 2024, in an amount not to exceed $200,000. There have been several amendments increasing the agreement's "not to exceed" amount to $715,000 covering SMMC, Aging and Adult Services, and Behavioral Health and Recovery Services.

DISCUSSION:
Although the work was completed by Royal for the term of this agreement, the "not to ...

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